An incompetent cervix is when the cervix is too weak to support a pregnancy. The weight and pressure of the uterus on the weakened cervix can cause it to prematurely open. This can cause an early delivery or a miscarriage.
Having an incompetent cervix is a fairly rare condition. It can be caused by previous damage to the cervix, either through miscarriage, birth, abortion or surgery. It could also be a deformity present since birth. No matter what the cause, if you have been diagnosed with an incompetent cervix, then there are some precautions that you and your doctor can take to help increase your chances of carrying a baby full-term.
If you have been diagnosed, then you have probably had a miscarriage before. If you have not, then your doctor may still want to check for incompetent cervix early in your pregnancy. This could be the case if you have had any kind of surgery or even a difficult delivery before.
They can check your cervix through a pelvic exam, but may want to examine your cervix more thoroughly. This is usually done by ultrasound. This will help your doctor determine if your cervix is open more than it should be. They will also be able to tell if the cervix is too thin.
Your doctor may recommend a cervical cerclage to hold the cervix shut. This is basically stitching the cervix closed during the pregnancy. It is usually done during the third month of pregnancy and helps the cervix withstand the pressure of the growing baby and uterus.
If the cervix shortens and starts to open later in the pregnancy, then an emergent cerclage may be placed later than the third month. Bed rest may be recommended instead if you are far along or if the cervix has already opened too much for the procedure to be performed.
You will most likely be under general anesthesia during the procedure. Spinal blocks and epidurals are also commonly used. A special thread will be stitched around your cervix and then cinched shut. You may experience cramping, light bleeding and pain after the procedure. You may be required to stay overnight after the procedure.
Your doctor may prescribe medication to help stop preterm labor. Other medications may be used to control pain and prevent infection. Your symptoms should cease after a few days. If they do not, then you need to contact your doctor. Fever, contractions, painful cramping, lower back pain, nausea, vomiting, bleeding, water leakage or foul smelling discharge should be immediately brought to your doctor’s attention.
Cervical cerclage is an
infertility treatment that can help many women carry their babies to term. Talk to your doctor about all of the risks and what you can do to prepare and take care of yourself afterward.
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